scholarly journals The association of maternal postpartum depression with infant weight growth: a prospective birth cohort study

2021 ◽  
Author(s):  
Qiong He ◽  
Gang Cheng ◽  
Simin He ◽  
Gang Tian ◽  
Xiaowei Xie ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Maternal Depression ◽  
Birth Cohort ◽  
Mixed Models ◽  
Linear Mixed Models ◽  
Estimating Equation ◽  
Generalized Estimating Equation ◽  
Weight Growth ◽  
Prospective Birth Cohort ◽  
Maternal Postpartum Depression

Abstract Background Untreated maternal postpartum depression has consequences for infant weight, which may vary with infant growth time and postpartum depression duration. Dynamic assessment of the association between maternal postpartum depression and infant weight growth is crucial for early detection of the suspicious abnormal effects of maternal postpartum depression on infant weight growth and taking corresponding intervention measures. But, none of published studies continuously and dynamically evaluated these effect changes on infant weight growth. This study was aimed to evaluate the dynamic effects of maternal postpartum depression on infant weight growth at a prospective birth cohort. Methods 960 mother-infant pairs between 2015 to 2018 in Changsha, China were followed up at ages of 1, 3, 6, 8, and 12 months. Data were obtained through household surveys. Depression of mothers was assessed at 1 month postpartum. Linear mixed models and generalized estimating equation models were used to test the connection and its changes between maternal postpartum depression and infant weight growth at five different periods of 1–12 months. Results 8.0% of mothers reported postpartum depression. Adjusted linear mixed models showed a negative association between maternal depression at 1-month postpartum and infant weight at 1 month, 1–3 months, 1–6 months, 1–8 months, and 1–12 months, in which infants with depressed mothers were the lighter weight of 0.14kg (95%CI:0.02, 0.25), 0.13kg (95%CI:0.02, 0.24), 0.13kg (95%CI:0.02, 0.24), 0.13kg (95%CI:0.02, 0.24), and 0.16kg (95%CI:0.04, 0.27) relative to not depressed respectively. Generalized estimating equation models showed a positive association between maternal depression at 1-month postpartum and infant underweight at 1 month and 1–3 months, in which infants of maternal depression had higher risk ratio of underweight in 3.19 (95%CI:1.38, 7.34) and 3.19(95%CI:1.32, 7.70) compared to those mothers were not depressed accordingly. Conclusions Maternal postpartum depression was continuously associated with a lighter weight of ifants from 1 to 12 months and higher risk of being underweight in infants from 1 to 3 months. It seems important to put early prevention, screening, diagnosis, and treatment of maternal depression into practice as soon as possible to avoid adverse consequences.

scholarly journals Parent-Infant Psychotherapy and Postpartum Depression: The Fathers Participation

2013 ◽  
Vol 23 (55) ◽  
pp. 207-215
Author(s):  
Milena da Rosa Silva ◽  
Luiz Carlos Prado ◽  
Cesar Augusto Piccinini
Keyword(s):  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Maternal Depression ◽  
Psychological Interventions ◽  
Process Of Change ◽  
Maternal Postpartum Depression

Given the specificities of postpartum maternal depression, the literature recommends that fathers become involved in psychological interventions within this context. This study presents an investigation of the participation of fathers in parent-infant psychotherapy in the context of maternal postpartum depression. Two families participated in this study, both with a child aged between 7 and 8 months old, whose mothers showed depressive symptoms. These families participated in parent-infant psychotherapy lasting approximately 12 sessions. Analysis of the fathers’ participation in psychotherapy showed that their presence during sessions enables the therapy to address aspects of parenthood, and also reduce the feeling of mothers as being the only ones responsible for the family’s process of change. In regard to the technique, the presence of fathers during sessions allows the therapist to see and address the issues concerning mother-father-infant during sessions.

scholarly journals Daycare attendance and respiratory tract infections: a prospective birth cohort study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014635 ◽  
Author(s):  
Linnea Schuez-Havupalo ◽  
Laura Toivonen ◽  
Sinikka Karppinen ◽  
Anne Kaljonen ◽  
Ville Peltola
Keyword(s):  
Cohort Study ◽  
Respiratory Tract ◽  
Birth Cohort ◽  
Day Care ◽  
Repeated Measures ◽  
Respiratory Tract Infections ◽  
Birth Cohort Study ◽  
Tract Infections ◽  
Prospective Birth Cohort ◽  
Prospective Birth Cohort Study

ObjectiveWe explored the burden of respiratory tract infections (RTIs) in young children with regard to day-care initiation.DesignLongitudinal prospective birth cohort study.Setting and methodsWe recruited 1827 children for follow-up until the age of 24 months collecting diary data on RTIs and daycare. Children with continuous daycare type and complete data were divided into groups of centre-based daycare (n=299), family day care (FDC) (n=245) and home care (n=350). Using repeated measures variance analyses, we analysed days per month with symptoms of respiratory tract infection, antibiotic treatments and parental absence from work for a period of 6 months prior to and 9 months after the start of daycare.ResultsWe documented a significant effect of time and type of daycare, as well as a significant interaction between them for all outcome measures. There was a rise in mean days with symptoms from 3.79 (95% CI 3.04 to 4.53) during the month preceding centre-based daycare to 10.57 (95% CI 9.35 to 11.79) at 2 months after the start of centre-based daycare, with a subsequent decrease within the following 9 months. Similar patterns with a rise and decline were observed in the use of antibiotics and parental absences. The start of FDC had weaker effects. Our findings were not changed when taking into account confounding factors.ConclusionsOur study shows the rapid increase in respiratory infections after start of daycare and a relatively fast decline in the course of time with continued daycare. It is important to support families around the beginning of daycare.

scholarly journals Association of gestational weight gain with cesarean section: a prospective birth cohort study in Southwest China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lujiao Huang ◽  
Ju Zhang ◽  
Hong Sun ◽  
Hongli Dong ◽  
Run Li ◽  
...  
Keyword(s):  
Weight Gain ◽  
Cesarean Section ◽  
Birth Cohort ◽  
Gestational Weight Gain ◽  
Southwest China ◽  
The Other ◽  
Public Health Issue ◽  
Birth Cohort Study ◽  
Gestational Weight ◽  
Prospective Birth Cohort

Abstract Background Cesarean section (CS) is a rising public health issue globally, and is particularly serious in China. Numerous studies have suggested that gestational weight gain (GWG) control may be an effective way to reduce the rate of CS. However, rare study has examined the association between GWG and CS among women in Southwest China. We proposed to examine their association based on a prospective birth cohort, and further to explore the optimal GWG range. Methods We retrieved data from a prospective birth cohort from Sichuan Provincial Hospital for Women and Children, Southwest China. Unconditional multivariable logistic regression was used to examine the association between GWG and CS by adjusting for potential confounders. In one analysis, we incorporated the GWG as a categorical variable according to the Institute of Medicine (IOM) recommendation, similar to the method used in the majority of previous studies. In the other analysis, we directly incorporated GWG as a continuous variable and natural cubic splines were used to characterize the potential nonlinear exposure-response relationship, aiming to identify the optimal GWG. We further stratified the above analysis by pre-pregnancy BMI and GDM, and then a heterogeneity test based on a multivariate meta-analysis was conducted to examine whether the stratum specific estimations agreed with each other. Results A total of 1363 participants were included. By adopting the IOM recommendation, the adjusted OR of CS was 0.63 (0.47, 0.84) for insufficient GWG and 1.42 (1.06, 1.88) for excessive GWG. After stratification by pre-pregnancy BMI, we found a higher risk of CS in associated with excessive GWG in the stratum of underweight compared with the other strata, which implied that pre-pregnancy BMI may be an effect modifier. By applying a flexible spline regression, the optimal GWG levels in terms of reducing the CS rate based on our data were more stringent than those of IOM recommendation, which were 9–12 kg for underweight women, < 19 kg for normal weight women and < 10 kg for overweight/obese women. Conclusions These results suggested that a more stringent recommendation should be applied in Southwest China, and that more attention should be given to underweight women.

scholarly journals Heat, Hills and the High Season: A Model-Based Comparative Analysis of Spatio-Temporal Factors Affecting Shared Bicycle Use in Three Southern European Islands

2021 ◽  
Vol 13 (6) ◽  
pp. 3274
Author(s):  
Suzanne Maas ◽  
Paraskevas Nikolaou ◽  
Maria Attard ◽  
Loukas Dimitriou
Keyword(s):  
Correlation Analysis ◽  
Mixed Models ◽  
Linear Mixed Models ◽  
Positive Association ◽  
Sustainable Mobility ◽  
Weather Factors ◽  
Gran Canaria ◽  
Bivariate Correlation ◽  
Temporal Factors

Bicycle sharing systems (BSSs) have been implemented in cities worldwide in an attempt to promote cycling. Despite exhibiting characteristics considered to be barriers to cycling, such as hot summers, hilliness and car-oriented infrastructure, Southern European island cities and tourist destinations Limassol (Cyprus), Las Palmas de Gran Canaria (Canary Islands, Spain) and the Valletta conurbation (Malta) are all experiencing the implementation of BSSs and policies to promote cycling. In this study, a year of trip data and secondary datasets are used to analyze dock-based BSS usage in the three case-study cities. How land use, socio-economic, network and temporal factors influence BSS use at station locations, both as an origin and as a destination, was examined using bivariate correlation analysis and through the development of linear mixed models for each case study. Bivariate correlations showed significant positive associations with the number of cafes and restaurants, vicinity to the beach or promenade and the percentage of foreign population at the BSS station locations in all cities. A positive relation with cycling infrastructure was evident in Limassol and Las Palmas de Gran Canaria, but not in Malta, as no cycling infrastructure is present in the island’s conurbation, where the BSS is primarily operational. Elevation had a negative association with BSS use in all three cities. In Limassol and Malta, where seasonality in weather patterns is strongest, a negative effect of rainfall and a positive effect of higher temperature were observed. Although there was a positive association between BSS use and the number of visiting tourists in Limassol and Malta, this is predominantly explained through the multi-collinearity with weather factors rather than by intensive use of the BSS by tourists. The linear mixed models showed more fine-grained results and explained differences in BSS use at stations, including differences for station use as an origin and as a destination. The insights from the correlation analysis and linear mixed models can be used to inform policies promoting cycling and BSS use and support sustainable mobility policies in the case-study cities and cities with similar characteristics.

scholarly journals Trajectories of maternal depressive symptoms and offspring’s risk behavior in early adolescence: data from the 2004 Pelotas birth cohort study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ana Beatriz Bozzini ◽  
Jessica Mayumi Maruyama ◽  
Tiago N. Munhoz ◽  
Aluísio J. D. Barros ◽  
Fernando C. Barros ◽  
...  
Keyword(s):  
Cohort Study ◽  
Depressive Symptoms ◽  
Alcohol Use ◽  
Maternal Depression ◽  
Risk Behavior ◽  
Birth Cohort ◽  
Depression Scale ◽  
Self Report ◽  
Birth Cohort Study ◽  
Maternal Depressive Symptoms

Abstract Background This longitudinal study explored the relationship between trajectories of maternal depressive symptoms and offspring’s risk behavior in adolescence contributing to an extremely scarce literature about the impacts of maternal depression trajectories on offspring risk behaviors. Methods We included 3437 11-year-old adolescents from the 2004 Pelotas Birth Cohort Study. Trajectories of maternal depressive symptoms were constructed using Edinburgh Postnatal Depression Scale (EDPS) from age 3 months to 11 years. We identified five trajectories of maternal depressive symptoms: “low” “moderate low”, “increasing”, “decreasing”, and “chronic high”. The following adolescent outcomes were identified via self-report questionnaire and analyzed as binary outcome –yes/no: involvement in fights and alcohol use at age 11. We used logistic regression models to examine the effects of trajectories of maternal depressive symptoms on offspring’s risk behavior adjusting for potential confounding variable. Results Alcohol use and/or abuse as well as involvement in fights during adolescence, were not significantly associated with any specific trajectory of maternal depressive symptoms neither in the crude nor in the adjusted analyses. Conclusion Alcohol use and involvement in fights at age 11 were not associated with any specific trajectory of maternal depression.

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